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门诊姑息治疗:一个说明为接受癌症治疗患者提供临床支持的案例研究。

Outpatient Palliative Care: A Case Study Illustrating Clinic Support Offered to Patients Receiving Cancer Treatment.

作者信息

Hallman Kathryn, Newton Susie

机构信息

Bon Secours Mercy Health.

TMAC (The Medical Affairs Company).

出版信息

Clin J Oncol Nurs. 2019 Apr 1;23(2):203-208. doi: 10.1188/19.CJON.203-208.

DOI:10.1188/19.CJON.203-208
PMID:30880800
Abstract

BACKGROUND

Palliative care programs in the United States are becoming more integrated with oncology outpatient practices.

OBJECTIVES

This article offers a condensed review of available literature on the usefulness of palliative care in the oncology clinic setting and a case study to illustrate these ideas.

METHODS

Literature was reviewed related to the successes and failures of providing an embedded palliative care team in an oncology clinic and its role and effectiveness as part of a collaborative interprofessional team for patients with cancer.

FINDINGS

The incorporation of palliative care into outpatient oncology clinics presented a reduction in symptom burden, financial burden, and emergency department visits for symptom management. Palliative care also facilitates increased communication between patients and providers to ensure that care meets patients' wishes.

摘要

背景

美国的姑息治疗项目正越来越多地与肿瘤门诊实践相结合。

目的

本文简要回顾了关于姑息治疗在肿瘤门诊环境中的效用的现有文献,并通过一个案例研究来说明这些观点。

方法

回顾了有关在肿瘤门诊设立嵌入式姑息治疗团队的成败及其作为癌症患者跨专业协作团队一部分的作用和效果的文献。

结果

将姑息治疗纳入肿瘤门诊可减轻症状负担、经济负担,并减少因症状管理而前往急诊科就诊的次数。姑息治疗还促进了患者与医疗服务提供者之间的沟通,以确保治疗符合患者的意愿。

相似文献

1
Outpatient Palliative Care: A Case Study Illustrating Clinic Support Offered to Patients Receiving Cancer Treatment.门诊姑息治疗:一个说明为接受癌症治疗患者提供临床支持的案例研究。
Clin J Oncol Nurs. 2019 Apr 1;23(2):203-208. doi: 10.1188/19.CJON.203-208.
2
Palliative care delivery models.姑息治疗提供模式。
Semin Oncol Nurs. 2014 Nov;30(4):227-33. doi: 10.1016/j.soncn.2014.08.004.
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Implementation issues relevant to outpatient neurology palliative care.与门诊神经科姑息治疗相关的实施问题。
Ann Palliat Med. 2018 Jul;7(3):339-348. doi: 10.21037/apm.2017.10.06. Epub 2017 Nov 29.
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What happens during early outpatient palliative care consultations for persons with newly diagnosed advanced cancer? A qualitative analysis of provider documentation.新诊断为晚期癌症患者的早期门诊姑息治疗咨询期间会发生什么?对提供者记录文件的定性分析。
Palliat Med. 2018 Jan;32(1):59-68. doi: 10.1177/0269216317733381. Epub 2017 Sep 27.
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Snapshot of an Outpatient Supportive Care Center at a Comprehensive Cancer Center.综合癌症中心门诊支持性护理中心概况
J Palliat Med. 2017 Apr;20(4):433-436. doi: 10.1089/jpm.2016.0370. Epub 2017 Feb 22.
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Conceptual models for integrating palliative care at cancer centers.癌症中心姑息治疗整合的概念模型。
J Palliat Med. 2012 Nov;15(11):1261-9. doi: 10.1089/jpm.2012.0147. Epub 2012 Aug 27.
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Avoidable and unavoidable visits to the emergency department among patients with advanced cancer receiving outpatient palliative care.接受门诊姑息治疗的晚期癌症患者中可避免和不可避免的急诊科就诊情况。
J Pain Symptom Manage. 2015 Mar;49(3):497-504. doi: 10.1016/j.jpainsymman.2014.07.007. Epub 2014 Aug 15.
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Integration of a Clinical Pharmacist into an Interdisciplinary Palliative Care Outpatient Clinic.临床药师融入跨学科姑息治疗门诊诊所。
Am J Hosp Palliat Care. 2017 Nov;34(9):814-819. doi: 10.1177/1049909116657324. Epub 2016 Jul 14.
9
Integrating palliative care into active cancer treatment.将姑息治疗融入积极的癌症治疗中。
Semin Oncol Nurs. 2014 Nov;30(4):203-11. doi: 10.1016/j.soncn.2014.08.002.
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Usefulness of the Surprise Question on an Inpatient Oncology Service.住院肿瘤服务中意外问题的实用性。
Am J Hosp Palliat Care. 2018 Nov;35(11):1421-1425. doi: 10.1177/1049909118777990. Epub 2018 May 21.

引用本文的文献

1
Quality indicators of outpatient palliative care: A systematic review.门诊姑息治疗的质量指标:一项系统评价。
Asia Pac J Oncol Nurs. 2025 May 10;12:100718. doi: 10.1016/j.apjon.2025.100718. eCollection 2025 Dec.
2
Outpatient Palliative Care Service Involvement: A Five-Year Experience from a Tertiary Hospital in Switzerland.门诊姑息治疗服务参与情况:来自瑞士一家三级医院的五年经验
Palliat Med Rep. 2024 Jan 5;5(1):10-19. doi: 10.1089/pmr.2023.0052. eCollection 2024.
3
Decision-Making by Emergency Medicine Personnel in Prehospital Treatment of Patients Receiving Palliative Care: A Questionnaire, Comparative Cohort Study.
急诊医学人员在姑息治疗患者院前治疗中的决策:一项问卷调查、比较队列研究
Adv Med Educ Pract. 2021 Sep 29;12:1111-1118. doi: 10.2147/AMEP.S323557. eCollection 2021.
4
Palliative Care Communication: Outcomes From COMFORT, a Train-the-Trainer Course for Providers.缓和医疗沟通:培训师课程 COMFORT 的结果。
Clin J Oncol Nurs. 2020 Feb 1;24(1):E1-E6. doi: 10.1188/20.CJON.E1-E6.